Remote Medical Coding Quality Auditor

Cognizant; Springfield (IL); Remote; USD 63,000 - 71,000; Full time

Job summary

Cognizant is hiring a Medical Coding Quality Auditor to ensure accuracy, compliance, and quality across healthcare records in a fully remote environment. You will review documentation, query physicians, assign codes (ICD-10-CM, CPT, HCPCS), perform peer reviews, and report audit findings while maintaining a 98% accuracy rate and productive turnaround times.

The role requires coding certifications (CPC, CCS, RHIT, RHIA), strong knowledge of coding guidelines, and experience with encoder tools.

Qualifications

• High school diploma or equivalent; Associate's or Bachelor's degree preferred.
• CPC, CCS, RHIT, RHIA or other relevant coding certification.
• Experience reviewing medical documentation and assigning diagnosis and procedure codes.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
• Experience utilizing electronic encoder applications and coding software.
• Ability to effectively communicate with physicians to resolve documentation and coding questions.

Responsibilities

• Review medical documentation to accurately assign diagnosis and procedure codes.
• Communicate with physicians to obtain or clarify diagnoses and procedures through the coding query process.
• Assign accurate codes using encoder applications per company policies and coding guidelines.
• Perform peer reviews and quality audits of Health Information Management coding auditors and coders.
• Prepare and complete reports, audit findings, and other deliverables as requested.
• Monitor coding quality and ensure adherence to compliance standards and best practices.
• Maintain a minimum coding accuracy rate of 98% while meeting productivity and turnaround time requirements.
• Consistently meet productivity goals and turnaround times.

Skills

CPC

CCS

RHIT

RHIA

ICD-10-CM CPT HCPCS

Education

High school diploma

Associate’s or Bachelor’s degree preferred

Tools

Electronic encoder applications

Coding software

Job description

Cognizant is hiring a Medical Coding Quality Auditor to ensure accuracy, compliance, and quality across healthcare records in a fully remote environment. You will review documentation, query physicians, assign codes (ICD-10-CM, CPT, HCPCS), perform peer reviews, and report audit findings while maintaining a 98% accuracy rate and productive turnaround times.

The role requires coding certifications (CPC, CCS, RHIT, RHIA), strong knowledge of coding guidelines, and experience with encoder tools.